A child with stridor and poor growth

A fictional infant has persistent inspiratory noise that varies with position and becomes more noticeable during feeding. The caregivers now report poor weight gain, longer feeding times and increased chest retractions. A previous note used the word laryngomalacia but did not document the current airway examination, growth trajectory or aspiration assessment. A trainee treats the old label as proof that observation alone must remain appropriate and recommends an unmonitored prone sleeping position. The responsible clinician instead reassesses severity and functional consequences and arranges the relevant specialist airway and feeding evaluation. The case provides no complete procedure indication or individual medication order. The task is to recognize changed risk rather than repeat a benign natural-history slogan.